SOUTH CLAY MEDICAL ASSOCIATES INC NPI 1710991419

NPI Information

  • NPI: 1710991419
  • Provider Name: SOUTH CLAY MEDICAL ASSOCIATES INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 3360 COUNTY ROAD 220
    MIDDLEBURG, FL
    ZIP 32068
  • Phone: (904) 291-2221

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NPI Details

SOUTH CLAY MEDICAL ASSOCIATES INC is a family medicine in Middleburg, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTH CLAY MEDICAL ASSOCIATES INC NPI is 1710991419. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3360 COUNTY ROAD 220
MIDDLEBURG, FL
ZIP 32068-359
Phone: (904) 291-2221
Fax: (904) 291-9192

The provider's authorized official is Murshid Al-awady .
The authorized official title is Owner and has the following contact phone number (904) 291-2221.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 5/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
138215MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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